- Trinity Health (Newtown, PA)
- …overall performance of the team including quality patient care, financial performance, utilization management , and compliance with state and federal regulations. ... and quality standards. Working knowledge in navigating through Excel and utilization of Outlook and Word. Excellent communication and problem-solving skills.… more
- UCHealth (Aurora, CO)
- …cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. ... Description Location: UCHealth UCHlth Anschutz Inpt Pavilion, US:CO:Aurora Department: UCHA Care Management FTE: PRN, 0.0, 0.00 hours per pay period (2 weeks) Shift:… more
- Covenant Health Inc. (Alcoa, TN)
- …Parkwest Medical Center. Assures that productivity targets are met. + Coordinates the utilization management plan for physicians and nurse practitioners with the ... and family therapy + Care Coordination + Support Groups + Medication management + Assessment and referral services Position Summary: Oversees the provision of… more
- Centers Plan for Healthy Living (Margate, FL)
- …accepting applications for Full Time Registered Nurse without experience. The Utilization Management Clinical Reviewer works within a multidisciplinary team ... or support in their home to improve their quality of life. Utilization Management Clinical Reviewer will assess and process all authorization requests to… more
- BJC HealthCare (St. Louis, MO)
- …to identify and resolve issues. Performs and provides consultation regarding Utilization Management and Performance Improvement programs in order to ... connects to Millennium Park. Care Coordination consist of Case Management , Social Services and Utilization Review. The...consist of Case Management , Social Services and Utilization Review. The personnel in this office are responsible… more
- Crouse Hospital (Syracuse, NY)
- …of hospital resources while maintaining the quality of care. + Participates in the utilization management process using standards of care to determine the most ... Three (3) - Five (5) years acute hospital experience. + Case Management or Utilization Management experience preferred. Benefits Overview: + Medical, Dental,… more
- Corning Incorporated (Painted Post, NY)
- …Cisco VPN connectivity. + Familiarity supporting Citrix connectivity. + Remote connection/ utilization . + Asset management skills. + Edge, Google Chrome, ... telephony. + Hardware ordering/deployment. **Additional Responsibilities** + Documentation (records) management . + Knowledge base utilization . + Project… more
- ChenMed (Cleveland, OH)
- …of care and cost effectiveness through the integrating and functions of case management , utilization review and discharge planning. The incumbent in this role ... JOB DUTIES/RESPONSIBILITIES:** + Coordinates the integration of social services/case management functions into the patient care, discharge and home planning… more
- MVP Health Care (Schenectady, NY)
- …with children and/or adolescents, with at least 2 years being ASD related + Utilization or Case Management experience in a managed care organization is preferred ... Workplace** . The Behavioral Health (BH) Professional is responsible for conducting utilization review for mental health and substance use treatment decisions. This… more
- US Tech Solutions (Painted Post, NY)
- …Cisco VPN connectivity + Familiarity supporting Citrix connectivity + Remote connection/ utilization + Asset management skills + Edge, Google Chrome, ... IP telephony + Hardware ordering/deployment **Desired Skills:** + Documentation (records) management + Knowledge base utilization + Project interaction +… more
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